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 Paranoia -psychological disorder characterized
by delusions of persecution or grandeur.
 Prejudice -The words prejudice refers to
prejudgment: i.e. making a decision before
becoming aware of the relevant facts of a case
or event.
 Hypochondriasis - (or hypochondria, sometimes
referred to as health anxiety/health phobia) It
refers to an excessive preoccupation or worry
about having a serious illness
 Hysteria, or somatization disorder:
It is a diagnostic label applied to a state
of mind, one of unmanageable fear or
emotional excesses.
The fear is often centered on a body part,
most often on an imagined problem with
that body part (disease is a common
complaint).
 Histrionic personality disorder (HPD)
It is a personality disorder
characterized by a pattern of excessive
emotionality and attention-seeking,
including an excessive need for
approval and inappropriate
seductiveness, usually beginning in
early adulthood.
“Personality disorders are
patterns of perceiving, reacting,
and relating to other people and
events that are relatively
inflexible and that impair a
person's ability to function
socially”.
Everyone has characteristic patterns of perceiving
and relating to other people and events (personality
traits).
 That is, people tend to cope with stresses in an
individual but consistent way.
 For example, some people respond to a troubling
situation by seeking someone else's help; others
prefer to deal with problems on their own.
 Mentally healthy people are likely to try an alternative
approach if their first response is ineffective.
 People with a personality disorder are rigid and tend to
respond inappropriately to problems, to the point that
relationships with family members, friends, and
coworkers are affected.
 These maladaptive responses usually begin in
adolescence or early adulthood and do not change over
time. Personality disorders vary in severity. They are
usually mild and rarely severe.
 Most people with a personality disorder are
distressed about their life and have problems with
relationships at work or in social situations.
 Many people also have mood, anxiety, substance
abuse, or eating disorders.
 People with a personality disorder are unaware that their
thought or behavior patterns are inappropriate; thus, they
tend not to seek help on their own.
 Instead, they may be referred by their friends, family
members, or a social agency because their behavior is
causing difficulty for others.
Common Coping Mechanisms
Mechanism Definition Result Personality Disorders
Involved
Projection Attributing one's own
feelings or thoughts
to others
Leads to prejudice,
suspiciousness, and
excessive worrying
about external
dangers
Typical of paranoid
and schizotypal
personalities; used by
people with
borderline, antisocial,
or narcissistic
personality when
under acute stress
Splitting Use of black-or-white,
all-or-nothing
thinking to divide
people into groups of
idealized all-good
saviors and vilified all-
bad evildoers
Allows a person to
avoid the discomfort
of having both loving
and hateful feelings
for the same person as
well as feelings of
uncertainty and
Typical of borderline
personality
Acting out A direct behavioral
expression of an
unconscious wish or
impulse that enables
a person to avoid
thinking about a
painful situation or
experiencing a
painful emotion
Leads to acts that
are often
irresponsible,
reckless, and
foolish. Includes
many delinquent,
promiscuous, and
substance-abusing
acts, which can
become so habitual
that the person
remains unaware
and dismissive of
the feelings that
initiated the acts
Very common in
people with
antisocial or
borderline
personality
Turning aggression
against self
Expressing the
angry feelings one
has toward others
by hurting one's
self directly (for
example, through
self-mutilation) or
indirectly (for
example, in body
dysmorphic
disorder); when
indirect, it is called
passive aggression
Includes failures
and illnesses that
affect others more
than oneself and
silly, provocative
clowning
Dramatic in people
with borderline
personality
Fantasizing Use of imaginary
relationships and
private belief systems
to resolve conflict
and to escape from
painful realities, such
as loneliness
Is associated with
eccentricity,
avoidance of
interpersonal
intimacy, and
avoidance of
involvement with the
outside world
Used by people with
an avoidant or
schizoid personality,
who, in contrast to
people with
psychoses, do not
believe and thus do
not act on their
fantasies
Hypochondriasis Use of health
complaints to gain
attention
Provides a person
with nurturing
attention from
others; may be a
passive expression of
anger toward others
Used by people with
dependent,
histrionic, or
borderline
personality
Cluster A
personality disorders involve
odd or eccentric behavior;
cluster B,
dramatic or erratic behavior;
and
cluster C,
anxious or inhibited behavior.
 Belief that others are lying, cheating, exploiting or
trying to harm you
 Perception of hidden, malicious meaning in benign
comments
 Inability to work collaboratively with others
 Emotional detachment
 Hostility toward others
 Fantasizing
 Extreme introversion
 Emotional distance, even from family
members
 Fixation on your own thoughts and feelings
 Emotional detachment
 Indifference to and withdrawal from others
 "Magical thinking" — the idea that you can
influence people and events with your
thoughts
 Odd, elaborate style of dressing, speaking and
interacting with others
 Belief that messages are hidden for you in
public speeches and displays
 Suspicious or paranoid ideas
Histrionic
personality
disorder
Narcissistic
personality
disorder
Antisocial
personality
disorder
Borderline
personality
disorder
 Excessive sensitivity to others' approval
 Attention-grabbing, often sexually provocative
clothing and behavior
 Excessive concern with your physical appearance
 False sense of intimacy with others
 Constant, sudden emotional shifts
 Inflated sense of — and preoccupation with — your
importance, achievements and talents
 Constant attention-grabbing and admiration-
seeking behavior
 Inability to empathize with others
 Excessive anger or shame in response to criticism
 Manipulation of others to further your own desires
 Chronic irresponsibility and unreliability
 Lack of regard for the law and for others' rights
 Persistent lying and stealing
 Aggressive, often violent behavior
 Lack of remorse for hurting others
 Lack of concern for the safety of yourself and others
 Difficulty controlling emotions or impulses
 Frequent, dramatic changes in mood,
opinions and plans
 Stormy relationships involving frequent,
intense anger and possibly physical fights
 Fear of being alone despite a tendency
to push people away
 Feeling of emptiness inside
 Suicide attempts or self-mutilation
Avoidant personality
disorder
Dependent
personality disorder
Obsessive-compulsive
personality disorder
 Hypersensitivity to criticism or
rejection
 Self-imposed social isolation
 Extreme shyness in social situations,
though you strongly desire close
relationships
 Excessive dependence on others to meet
your physical and emotional needs
 Tolerance of poor, even abusive treatment
in order to stay in relationships
 Unwillingness to independently voice
opinions, make decisions or initiate
activities
 Intense fear of being alone
 Urgent need to start a new relationship
when one has ended
 Excessive concern with order, rules,
schedules and lists
 Perfectionism, often so pronounced that
you can't complete tasks because your
standards are impossible to meet
 Inability to throw out even broken,
worthless objects
 Inability to share responsibility with others
 Inflexibility about the "right" ethics, ideas
and methods
 Compulsive devotion to work at the expense
of recreation and relationships
 Financial stinginess
 Discomfort with emotions and aspects of
personal relationships that you can't control
 Stresses experienced by older adults.
 Children with an alcoholic parent, or
who have an abusive or chaotic home
life, are at increased risk of developing
antisocial personality disorder. Genetic
(ie, inherited) factors
 Sexual abuse is a common risk factor for
borderline personality disorder.
 People with borderline personality disorder
who report sexual abuse at a younger age —
younger than 13 years old — are also more
likely to have post-traumatic stress
disorder.
 Heredity and childhood head injuries also may
influence the development of this disorder.
 Overwhelmed by losses (eg, deaths among friends
and loved ones),
 Medical problems
 Environmental facts
 Person’s history, specifically, on repetition of
maladaptive thought or behavior patterns.
 These patterns tend to become apparent because
the person tenaciously resists changing them
despite their negative consequences. In addition, a
doctor is likely to notice the
 Person’s immature and maladaptive use of mental
coping mechanisms, which interferes with their
daily functioning.
Social isolation
Suicide
Substance abuse
Depression, anxiety and eating
disorders
Self-destructive behavior
Violence and homicide
Incarceration
Therapy
Psychodynamic
psychotherapy
Cognitive behavior
therapy
Dialectical behavior
therapy
Anti depressents
Anti convulsants
Anti psychotics
 Living with someone who has a personality
disorder can be very difficult.
 Remember that people with personality
disorders are rarely aware that they have a
problem.
 If you can gently help your loved one recognize
that he or she needs help, improvement is
possible.
Personality disorders

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Personality disorders

  • 1.
  • 2.  Paranoia -psychological disorder characterized by delusions of persecution or grandeur.  Prejudice -The words prejudice refers to prejudgment: i.e. making a decision before becoming aware of the relevant facts of a case or event.
  • 3.  Hypochondriasis - (or hypochondria, sometimes referred to as health anxiety/health phobia) It refers to an excessive preoccupation or worry about having a serious illness
  • 4.  Hysteria, or somatization disorder: It is a diagnostic label applied to a state of mind, one of unmanageable fear or emotional excesses. The fear is often centered on a body part, most often on an imagined problem with that body part (disease is a common complaint).
  • 5.  Histrionic personality disorder (HPD) It is a personality disorder characterized by a pattern of excessive emotionality and attention-seeking, including an excessive need for approval and inappropriate seductiveness, usually beginning in early adulthood.
  • 6. “Personality disorders are patterns of perceiving, reacting, and relating to other people and events that are relatively inflexible and that impair a person's ability to function socially”.
  • 7. Everyone has characteristic patterns of perceiving and relating to other people and events (personality traits).  That is, people tend to cope with stresses in an individual but consistent way.  For example, some people respond to a troubling situation by seeking someone else's help; others prefer to deal with problems on their own.
  • 8.  Mentally healthy people are likely to try an alternative approach if their first response is ineffective.  People with a personality disorder are rigid and tend to respond inappropriately to problems, to the point that relationships with family members, friends, and coworkers are affected.  These maladaptive responses usually begin in adolescence or early adulthood and do not change over time. Personality disorders vary in severity. They are usually mild and rarely severe.
  • 9.  Most people with a personality disorder are distressed about their life and have problems with relationships at work or in social situations.  Many people also have mood, anxiety, substance abuse, or eating disorders.
  • 10.  People with a personality disorder are unaware that their thought or behavior patterns are inappropriate; thus, they tend not to seek help on their own.  Instead, they may be referred by their friends, family members, or a social agency because their behavior is causing difficulty for others.
  • 11. Common Coping Mechanisms Mechanism Definition Result Personality Disorders Involved Projection Attributing one's own feelings or thoughts to others Leads to prejudice, suspiciousness, and excessive worrying about external dangers Typical of paranoid and schizotypal personalities; used by people with borderline, antisocial, or narcissistic personality when under acute stress Splitting Use of black-or-white, all-or-nothing thinking to divide people into groups of idealized all-good saviors and vilified all- bad evildoers Allows a person to avoid the discomfort of having both loving and hateful feelings for the same person as well as feelings of uncertainty and Typical of borderline personality
  • 12. Acting out A direct behavioral expression of an unconscious wish or impulse that enables a person to avoid thinking about a painful situation or experiencing a painful emotion Leads to acts that are often irresponsible, reckless, and foolish. Includes many delinquent, promiscuous, and substance-abusing acts, which can become so habitual that the person remains unaware and dismissive of the feelings that initiated the acts Very common in people with antisocial or borderline personality
  • 13. Turning aggression against self Expressing the angry feelings one has toward others by hurting one's self directly (for example, through self-mutilation) or indirectly (for example, in body dysmorphic disorder); when indirect, it is called passive aggression Includes failures and illnesses that affect others more than oneself and silly, provocative clowning Dramatic in people with borderline personality
  • 14. Fantasizing Use of imaginary relationships and private belief systems to resolve conflict and to escape from painful realities, such as loneliness Is associated with eccentricity, avoidance of interpersonal intimacy, and avoidance of involvement with the outside world Used by people with an avoidant or schizoid personality, who, in contrast to people with psychoses, do not believe and thus do not act on their fantasies Hypochondriasis Use of health complaints to gain attention Provides a person with nurturing attention from others; may be a passive expression of anger toward others Used by people with dependent, histrionic, or borderline personality
  • 15. Cluster A personality disorders involve odd or eccentric behavior; cluster B, dramatic or erratic behavior; and cluster C, anxious or inhibited behavior.
  • 16.
  • 17.  Belief that others are lying, cheating, exploiting or trying to harm you  Perception of hidden, malicious meaning in benign comments  Inability to work collaboratively with others  Emotional detachment  Hostility toward others
  • 18.  Fantasizing  Extreme introversion  Emotional distance, even from family members  Fixation on your own thoughts and feelings  Emotional detachment
  • 19.  Indifference to and withdrawal from others  "Magical thinking" — the idea that you can influence people and events with your thoughts  Odd, elaborate style of dressing, speaking and interacting with others  Belief that messages are hidden for you in public speeches and displays  Suspicious or paranoid ideas
  • 21.  Excessive sensitivity to others' approval  Attention-grabbing, often sexually provocative clothing and behavior  Excessive concern with your physical appearance  False sense of intimacy with others  Constant, sudden emotional shifts
  • 22.  Inflated sense of — and preoccupation with — your importance, achievements and talents  Constant attention-grabbing and admiration- seeking behavior  Inability to empathize with others  Excessive anger or shame in response to criticism  Manipulation of others to further your own desires
  • 23.  Chronic irresponsibility and unreliability  Lack of regard for the law and for others' rights  Persistent lying and stealing  Aggressive, often violent behavior  Lack of remorse for hurting others  Lack of concern for the safety of yourself and others
  • 24.  Difficulty controlling emotions or impulses  Frequent, dramatic changes in mood, opinions and plans  Stormy relationships involving frequent, intense anger and possibly physical fights
  • 25.  Fear of being alone despite a tendency to push people away  Feeling of emptiness inside  Suicide attempts or self-mutilation
  • 27.  Hypersensitivity to criticism or rejection  Self-imposed social isolation  Extreme shyness in social situations, though you strongly desire close relationships
  • 28.  Excessive dependence on others to meet your physical and emotional needs  Tolerance of poor, even abusive treatment in order to stay in relationships  Unwillingness to independently voice opinions, make decisions or initiate activities
  • 29.  Intense fear of being alone  Urgent need to start a new relationship when one has ended
  • 30.  Excessive concern with order, rules, schedules and lists  Perfectionism, often so pronounced that you can't complete tasks because your standards are impossible to meet  Inability to throw out even broken, worthless objects  Inability to share responsibility with others
  • 31.  Inflexibility about the "right" ethics, ideas and methods  Compulsive devotion to work at the expense of recreation and relationships  Financial stinginess  Discomfort with emotions and aspects of personal relationships that you can't control
  • 32.  Stresses experienced by older adults.  Children with an alcoholic parent, or who have an abusive or chaotic home life, are at increased risk of developing antisocial personality disorder. Genetic (ie, inherited) factors
  • 33.  Sexual abuse is a common risk factor for borderline personality disorder.  People with borderline personality disorder who report sexual abuse at a younger age — younger than 13 years old — are also more likely to have post-traumatic stress disorder.
  • 34.  Heredity and childhood head injuries also may influence the development of this disorder.  Overwhelmed by losses (eg, deaths among friends and loved ones),  Medical problems  Environmental facts
  • 35.  Person’s history, specifically, on repetition of maladaptive thought or behavior patterns.  These patterns tend to become apparent because the person tenaciously resists changing them despite their negative consequences. In addition, a doctor is likely to notice the  Person’s immature and maladaptive use of mental coping mechanisms, which interferes with their daily functioning.
  • 36. Social isolation Suicide Substance abuse Depression, anxiety and eating disorders Self-destructive behavior Violence and homicide Incarceration
  • 39.  Living with someone who has a personality disorder can be very difficult.  Remember that people with personality disorders are rarely aware that they have a problem.  If you can gently help your loved one recognize that he or she needs help, improvement is possible.